{"title":"Does Alcohol Use Among Sexually Active College Students Moderate HIV Risk Behavior?","authors":"J. Lewis, R. Malow, L. Norman","doi":"10.1080/15538340902824084","DOIUrl":"https://doi.org/10.1080/15538340902824084","url":null,"abstract":"ABSTRACT College students frequently use alcohol and are very sexually active, but do the two behaviors result in greater HIV risk? We employed the AIDS Risk Reduction Model to assess condom use during vaginal intercourse for sexually active college students using and not using alcohol proximal to sex. Students reported multiple lifetime sex partners and used condoms inconsistently during vaginal intercourse. According to the model, condom use was slightly better among sexually active alcohol users than among sexually active nonusers. Similar rates in condom use among both groups may be a reflection of the prevailing attitudes toward condoms, rather than indicative of the effect of alcohol use on preventive behaviors.","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"9 1","pages":"138 - 157"},"PeriodicalIF":0.0,"publicationDate":"2008-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15538340902824084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59892294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Hohman, A. Shillington, J. Min, J. Clapp, Kristin Mueller, M. Hovell
{"title":"Adolescent Use of Two Types of HIV Prevention Agencies","authors":"M. Hohman, A. Shillington, J. Min, J. Clapp, Kristin Mueller, M. Hovell","doi":"10.1080/15538340902824100","DOIUrl":"https://doi.org/10.1080/15538340902824100","url":null,"abstract":"ABSTRACT This study compared two groups of adolescents seeking help at HIV prevention drop-in agencies. The first group attended agencies in low-income Hispanic neighborhoods which recruited within the locale. The second group of youth attended agencies that recruited based upon a specific population—they targeted homeless and LGBQ youth. We explored the characteristics of adolescents who sought initial services, the types of services requested, and attitudes toward the centers. Results indicated that those who utilized the population-based agencies were more likely to be homeless, have higher depression scores, and be older. They reported coming to the agency to find a safe place, whereas those who utilized the neighborhood-based agencies came specifically for concrete services. Implications are discussed.","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"9 1","pages":"175 - 191"},"PeriodicalIF":0.0,"publicationDate":"2008-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15538340902824100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59892746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Teitelman, M. Dichter, J. Cederbaum, Jacquelyn C. Campbell
{"title":"Intimate Partner Violence, Condom Use and HIV Risk for Adolescent Girls","authors":"A. Teitelman, M. Dichter, J. Cederbaum, Jacquelyn C. Campbell","doi":"10.1300/J499v08n02_05","DOIUrl":"https://doi.org/10.1300/J499v08n02_05","url":null,"abstract":"ABSTRACT Adolescent girls account for a growing number of new cases of HIV in the United States, primarily transmitted through heterosexual sex. The principal method of HIV prevention for heterosexually-active girls is condom use by their male partners. Most HIV prevention interventions aimed at adolescent girls have focused on promoting the girls' individual behavior change and are most effective in situations that are under girls' control. A growing body of literature indicates the importance of recognizing partner influence on girls' condom use and negotiation strategies, and a beginning recognition of the role that intimate partner violence (IPV) may play in the decision-making control within the dyad. To better understand these linkages, this paper examines the association between IPV and girls' HIV risk through condom non-use with a systematic review of the literature and a theory-informed conceptual background. Six studies with adolescent girls were found that reported an association between intimate partner violence and increased risk for HIV (indicated by condom non-use). Gaps in the literature and implications for future research and prevention strategies are described. Findings highlight the need for more research to further elucidate the mechanisms linking intimate partner violence to condom non-use and to identify common precursors (proximal and/or distal) to explain these often co-occurring health risks. Prevention strategies that address the influence of interpersonal power dynamics and gender norms on sexual decision-making, and also incorporate ways to reduce risk for exposure to abusive relationships, hold promise for increasing effectiveness of HIV prevention interventions for adolescent girls. Such interventions need to be youth-informed and include tailored strategies for at-risk groups.","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"8 1","pages":"65 - 93"},"PeriodicalIF":0.0,"publicationDate":"2008-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J499v08n02_05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66356708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Influence of Knowing Someone with AIDS on Youth HIV Sexual Risk Behaviors","authors":"J. Cederbaum, S. Marcus, M. Hutchinson","doi":"10.1300/J499v08n02_03","DOIUrl":"https://doi.org/10.1300/J499v08n02_03","url":null,"abstract":"ABSTRACT Research indicates that knowing someone with HIV/ AIDS is associated with greater perceived risk of contracting HIV and changes in sexual risk behaviors. The current study with a sample of 1,172 examined whether knowing someone with HIV/AIDS influenced sexual risk communication and youth engagement in sexual intercourse using the Philadelphia Educational Longitudinal Study (PELS). Adolescents who reported personally knowing someone with AIDS were more likely to be female (p < .001) and Black (p < .007) or Hispanic (p < .019). These adolescents were 1.5 times more likely to report ever having had sex and 1.3 times more likely to have ever talked to their parent about how to avoid STDs and AIDS compared to youth who did not know someone with AIDS. Understanding if and how knowing someone with HIV/AIDS influences sexual activity may be an important approach in reducing new HIV infections.","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"8 1","pages":"31 - 44"},"PeriodicalIF":0.0,"publicationDate":"2008-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J499v08n02_03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66356522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Howard, C. Phillips, Nelia Matinhure, K. Goodman, S. McCurdy, Cary Johnson
{"title":"Barriers and Incentives to Orphan Care in a Time of AIDS and Economic Crisis","authors":"B. Howard, C. Phillips, Nelia Matinhure, K. Goodman, S. McCurdy, Cary Johnson","doi":"10.1300/J499v08n02_07","DOIUrl":"https://doi.org/10.1300/J499v08n02_07","url":null,"abstract":"ABSTRACT Background: Africa is in an orphan-care crisis. In Zimbabwe, where one-fourth of adults are HIV-positive and one-fifth of children are orphans, AIDS and economic decline are straining society's ability to care for orphans within their extended families. Lack of stable care is putting thousands of children at heightened risk of malnourishment, emotional underdevelopment, illiteracy, poverty, sexual exploitation, and HIV infection, endangering the future health of the society they are expected to sustain. Methods: To explore barriers and possible incentives to orphan care, a quantitative cross-sectional survey in rural eastern Zimbabwe asked 371 adults caring for children, including 212 caring for double orphans, about their well-being, needs, resources, and perceptions and experiences of orphan care. Results: Survey responses indicate that: (1) foster caregivers are disproportionately female, older, poor, and without a spouse; (2) 98% of non-foster caregivers are willing to foster orphans, many from outside their kinship network; (3) poverty is the primary barrier to fostering; (4) financial, physical, and emotional stress levels are high among current and potential fosterers; (5) financial need may be greatest in single-orphan AIDS-impoverished households; and (6) struggling families lack external support. Conclusions: Incentives for sustainable orphan care should focus on financial assistance, starting with free schooling, and development of community mechanisms to identify and support children in need, to evaluate and strengthen families' capacity to provide orphan care, and to initiate and support placement outside the family when necessary.","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"8 1","pages":"117 - 137"},"PeriodicalIF":0.0,"publicationDate":"2008-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J499v08n02_07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66356891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Results from an Empirical Study of School Principals' Decisions About Disclosure of HIV Status","authors":"T. Chenneville","doi":"10.1300/J499v08n02_02","DOIUrl":"https://doi.org/10.1300/J499v08n02_02","url":null,"abstract":"ABSTRACT Elementary school principals' decisions about disclosure of school age children's confidential medical information was empirically studied. Participants included a stratified sample of 339 elementary school principals from the seven largest school districts in Florida. Each participant received one of six vignettes describing a student with HIV, Hepatitis C, or Leukemia who was either symptomatic or asymptomatic. After reading the vignette, participants completed a 10-item Disclosure scale and a 16-itemHIV Knowledge scale. Data were analyzed using a 3 × 2 factorial MANOVA. Scores on the disclosure scale varied significantly based on diagnosis and the presence of symptomatology. Knowledge about HIV was relatively high among participants, and there were no significant correlations between level of knowledge and decisions about disclosure.","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"8 1","pages":"30 - 9"},"PeriodicalIF":0.0,"publicationDate":"2008-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J499v08n02_02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66356872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Pendleton, B. Stanton, L. Cottrell, S. Marshall, R. Pack, James J. Burns, Catherine Gibson, Ying Wu, Xiaoming Li, M. Cole
{"title":"Teens in the Twenty-First Century Still Prefer People Over Machines","authors":"Sara Pendleton, B. Stanton, L. Cottrell, S. Marshall, R. Pack, James J. Burns, Catherine Gibson, Ying Wu, Xiaoming Li, M. Cole","doi":"10.1300/J499v08n02_06","DOIUrl":"https://doi.org/10.1300/J499v08n02_06","url":null,"abstract":"ABSTRACT Purpose: To assess and compare youth satisfaction with two delivery approaches to a HIV/STD risk reduction intervention targeting adolescents: an on-site, face-to-face (FTF) approach versus a long distance interactive televised (DIT) approach. Methods: A convenience sample of 571 rural adolescents ages 12–16 years who participated in an HIV/STD risk reduction program were assessed by an anonymous, written, process evaluation questionnaire. Factor analysis and reliability testing evaluated psychometric properties. Student's t tests evaluated differences between the two intervention approaches for individual items and the four factors. Results: Factor analysis identified four underlying factors: (1) Interventionist Leadership Characteristics, (2) Interventionist Warmth, (3) Connection, and (4) Programmatic Assessment/Clarity: Student's t tests demonstrated that all four factors consistently favored the FTF over the DIT approach (p < .05). Conclusions: These findings indicate that participants randomized to the FTF conditions were significantly more satisfied than the DIT-based group. These findings highlight the need for research regarding program implementation that may alter acceptability of the adolescent HIV risk reduction intervention approach.","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"8 1","pages":"115 - 95"},"PeriodicalIF":0.0,"publicationDate":"2008-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1300/J499v08n02_06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66356792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cynthia Rosengard, L A R Stein, Nancy P Barnett, Peter M Monti, Charles Golembeske, Rebecca Lebeau-Craven, Robert Miranda
{"title":"Randomized Clinical Trial of Motivational Enhancement of Substance Use Treatment Among Incarcerated Adolescents: Post-Release Condom Non-Use.","authors":"Cynthia Rosengard, L A R Stein, Nancy P Barnett, Peter M Monti, Charles Golembeske, Rebecca Lebeau-Craven, Robert Miranda","doi":"10.1300/J499v08n02_04","DOIUrl":"10.1300/J499v08n02_04","url":null,"abstract":"<p><p>Evaluated impact of motivational enhancement (ME) of substance abuse treatment compared to relaxation training (RT) on sex without condoms (overall and involving substance use) 3 months following release among incarcerated adolescents. This randomized clinical trial involved 114 incarcerated adolescents from the Northeast. Regression analyses determined if treatment condition, baseline levels of depressive symptoms, and their interaction predicted condom non-use 3 months post-release, controlling for baseline condom non-use. Among those who reported fewer baseline depressive symptoms, those in ME condition reported significantly less condom non-use, in general and involving marijuana use compared with those in RT condition. Periods of incarceration represent opportunities to help juvenile detainees reduce behaviors that impact their health and the health of those with whom they interact in the community.</p>","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"8 2","pages":"45-64"},"PeriodicalIF":0.0,"publicationDate":"2008-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2756690/pdf/nihms134914.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28421094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nancy Wu, Suzanne Slocum, Scott Comulada, Patricia Lester, Alan Semaan, Mary Jane Rotheram-Borus
{"title":"Adjustment of Adolescents of Parents Living with HIV.","authors":"Nancy Wu, Suzanne Slocum, Scott Comulada, Patricia Lester, Alan Semaan, Mary Jane Rotheram-Borus","doi":"10.1080/10698370802124076","DOIUrl":"https://doi.org/10.1080/10698370802124076","url":null,"abstract":"<p><p>Family environment and rates of mental health and behavioral problems in HIV-negative adolescents and their parents living with HIV (PWH) were compared to adolescents and parents from non HIV-affected families living in similar inner-city neighborhoods. Adolescents and their parents were interviewed and a case-control sample was constructed. Data on sixty-two matched pairs of adolescents of PWH and those of neighborhood parents and forty-six matched pairs of PWH and HIV-negative parents were examined. Compared to neighborhood controls, adolescents of PWH experienced greater life stressors and family conflict and reported lower self-esteem. PWH reported greater emotional distress and substance use. However, there were no significant differences in emotional distress or externalized problem behaviors between the two adolescent groups. Clinical implications are discussed.</p>","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"9 1","pages":"34-51"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10698370802124076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32551558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sybil G Hosek, Gary W Harper, Diana Lemos, Jaime Martinez
{"title":"An Ecological Model of Stressors Experienced by Youth Newly Diagnosed With HIV.","authors":"Sybil G Hosek, Gary W Harper, Diana Lemos, Jaime Martinez","doi":"10.1080/15538340902824118","DOIUrl":"10.1080/15538340902824118","url":null,"abstract":"<p><p>This study qualitatively examined the social-ecological stressors that youth experience during the first year following an HIV diagnosis. Thirty HIV-positive youth (16 males, 14 females) between the ages of 16-24 participated in either focus groups or individual interviews. All sessions were transcribed and themes were identified through cross-case and comparative analyses. Participants reported experiencing stressors within multiple social-ecological systems, including interactions with their families, sexual partners, health care providers, work, and school. The results from this study highlight the need for youth-focused services that assist with multiple layers of stressors during the first year following an HIV diagnosis.</p>","PeriodicalId":87475,"journal":{"name":"Journal of HIV/AIDS prevention in children & youth","volume":"9 2","pages":"192-218"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2834206/pdf/nihms178619.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28765426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}